Please enable JavaScript in your browser to complete this form.Player Name - Team Captin *FirstLastEmail *PhoneName of Other Golfers in FoursomeAdditional Donation Amount (Optional)$5$10$20Other Donation Amount $ (Optional)Payment Type - $440 Per Team (4 Players) Check - Make payable to Flanders Valley Golf Course. Please mail to Flanders Valley with completed form (81 Pleasant Hill Road, Flanders, NJ 07869)Credit Card - please input information below (Optional) Team on Payment - Golf Outing RegistrationFor credit card payments, the charge will be processed upon receipt and completion of this form. Name on Credit CardCredit Card NumberExpiration DateSecurity CodeI understand and agree to abide by the following: Payment Policy: Payment for the full amounts must be included. Payments will be processed upon receipt. Insufficient funds, returned check or refused credit card charge will incur a fee of $20. Please be advised that a 3% processing fee will be applied to all online registrations paid by credit/debit card. This fee covers the cost of credit card transactions and is non-refundable. Cancellation Policy: All cancellations must be in writing and submitted to jklippel@kempersports.com. Cancellations received two weeks before the date of the program will be honored. Submit